Provider Demographics
NPI:1861635799
Name:HANNAH, JANET S (FNP)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:S
Last Name:HANNAH
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:237 W NORTHFIELD BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-0531
Mailing Address - Country:US
Mailing Address - Phone:615-848-2900
Mailing Address - Fax:615-848-2956
Practice Address - Street 1:237 W NORTHFIELD BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-0531
Practice Address - Country:US
Practice Address - Phone:615-848-2900
Practice Address - Fax:615-848-2956
Is Sole Proprietor?:No
Enumeration Date:2009-04-08
Last Update Date:2010-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN14109363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily